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Home My WebLink About297 16TH PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. `� CITY Of COSTA MESA CONSTRUCTION PERMIT PERM NO. TRACT NO. LOT NO. UNIT NO. l X97 a /4 P/"CP Vc2ea70to 9383 12/29/06 5.00 TL Project Address /.-/ / // ' • •Applicant's Mailin Address y/-6-33 1]/.-/d/104/4. ,H' .41/6 . TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION U REPAIR r 'C \/e lf1 /7i1Ye$t PA//c Phone?'"94i 3/7 DI CONVERSION DI DEMOLISH ❑ OTHER A.P. # Zone 0 Owner's Name De C// 1 I25 DESCRIPTION OF WORK/USE OF BLDG. Address �� SlYI/.JP {4e�� r 0aM S Main Building: Accessory Building: E Z TYPE OF PERMIT ❑ GRADING FOUNDATION ❑ STRUCTURAL Front Arch/Eng. License No. T O ❑ TENANT 0 ELECTRICAL • PLUMBING ❑ MECHANICALg - N Address A Rear _ l \ DI OTHER C Right N. Contractor's Name s��Umhl6// 1,r/P Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY r Address(mailing)/-s33 A/ .�-//d l//l,[/ Ail/AL, . �i'a�0/ K Left ' r �/a, O CONSTRUCTION TYPE VALUATION$ S City License No. 7 7C - R r•-•. '� - - — ZONE GRADING CU.VDS. ACRES Ping. Ref.# Parking Req./Provided E 1 . LICENSED CONTRACTOR DECLARATION O I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M Go with section 7000) of Division 3 of the Business and Professions Code,and T my license is In full force and affect. // _ { License Class - Ice se •. / b S Date - dErr- Signature 'JAW iii PLUMBING FEES f WORKERS'COMPENSATION DECLARATION Bar Sink Showers Q. lereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES c \ Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer '❑ 15.50 KW ..800, Lab. C.� ,/(./� 5e2iiie/4 Zf1-5 . 0 50+KW Policy No. �/5 'f Company/� Backflow Irrigation Sewer Cap Construction Pole Sub. weertified copy is hereby furnished. - C Certified c P i tiled with the cit :u" .in• • vlsl•, /, Bathtubs Sewer Connection Cooking Unit _ Meter Cup to 100 amps Date// V Applican I .# ' //td - EXEMPTION FROM WORKERS'COMPENSATIO • DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed If the permit is for one hundred ($100) or less).. Dishwasher Solar Piping Dryers ❑Gas DElectric - Sub Panel I certify that In the performance of the work for which this permit Is Issued,I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01%-6 Workers' Compensation Laws of California. — _ DateSignature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration, you should become subject to the Inc.Solar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed, revoked. CONSTRUCTION LENDING AGENCY • i Gas Service . Outlets Water Closet • Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light Of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors / Water Heater a dOutlets Ran e Lender's Name g Lender's Address _ Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays 1 • Generator ❑0-5 KW ❑5.15 KW • ' any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of _ ''vision 3 of the Business and Professions Code) or that he/she is exempt - • :refrom and the basis for the alleged exemption. Any violation of Section - 31.5 by any applicant for a permit subjects the applicant to a civil LJenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 I $15 . Issue Fee S 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL FEES • License Law does not apply to an owner Of a property who builds or Improves _ -_ thereon, and who does such work himself/herself or through his or her own - - -� DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 _ Zoning Approved By Date pietism, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By - Date rove for the purpose of sale). - -- I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat tractors to construct the project (Section 7044, Business and Professions Code: - - - -- a)--- The The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ of Exhaust SystempY p proof their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Faci.Blt.ICBG# Fire Dampers PLUMBING $ .6,0---o ISSUANCE $ Date Owner Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 00.1170,000 BTU 0100,00067 ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $ sentatives of -t}}}s city to ente up the above-mentioned property for Inspection P • •'-. / ii /� 6`/ 51' � ,�f Signature ..i:.a�1 v a/—. Date OU' MECHANICAL $ TOTAL FEE $ `"" " Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK -25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor •r' CONSTRUCTION AND PLANNING POOL& SPA -_' APPROVALS Permit# Date Inspector APPROVALS Permit# ' Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement =' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .• 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding U.. 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 1: 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE : 7. Footings 58. Electrical Conduit-Undrgrnd. "f- 8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing fl/ - Y*J ,7 39. Water Service-Final �f 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date •